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April 30, 1904


JAMA. 1904;XLII(18):1148. doi:10.1001/jama.1904.02490630034012

Fischer describes in a recent article1 an epidemic of paratyphoid fever which occurred in Kiel, affecting more than eighty persons, and which is especially interesting because of its probable origin. Without going into details, suffice it to say that on account of the distribution of the cases, it was relatively an easy matter to exclude water supply, milk supply and the character of the soil from having had any rôle in the spread of this epidemic. In one single house occurred nine cases (in practically all cases the diagnosis was established on the basis of the usual typhoidal symptoms of mild type— only one death—and by carefully controlled agglutination tests). In this house lived a butcher who had his shop in it, and these facts directed attention to the possibility that meat might have played some rôle in the spread of the disease. Inquiry brought the information that with

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